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Hanna Atalla, DDS

Dentist, General Practice in Lombard, IL. Individual provider (NPI-1).

NPI number1497082200
StatusActive
Last updated in NPPESNov 16, 2009

Details

NPI
1497082200
Entity type
Individual (NPI-1)
Name
Hanna Atalla
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 16, 2009
Last updated
Nov 16, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice58940CAYes

Practice location

21 West 285 Glen Park Rd.
Lombard, IL 60148

Phone 773-988-0786

Mailing address

21 West 285 Glen Park Rd.
Lombard, IL 60148

Phone 773-988-0786

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